Laser Therapy in the Treatment of Carpal Tunnel Syndrome: A Randomized Controlled Trial

Evcik, Deniz; Kavuncu, Vural; Çakır, Tuğrul; Subaşı, Volkan; Yaman, Mehmet

doi:10.1089/pho.2006.2032

Cited by 69 publications

(45 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Furthermore, it may alter the ion flow in membrane channels, therefore leading to decreased inhibitory post-synaptic potential and increased speed flow in neural cells. Other modalities such as local corticosteroid injection (Deniz et al 2012) and surgical decompression (Evcik et al 2007) can significantly improve SNCV and the sensory nerve action potential amplitude of the median nerve. However, others have reported no improvement (Gurcay et al 2009).…”

Section: Discussionmentioning

confidence: 99%

Effect of Gabapentin on nerve conduction studies in carpal tunnel syndrome

et al. 2018

View full text Add to dashboard Cite

Background: The most common type of neuropathy in adults is carpal tunnel syndrome (CTS) which is caused by compression of the median nerve at the wrist. Methods: This quasi-experimental study was conducted to determine the efficacy of gabapentin on nerve conduction studies in patients with mild CTS. The patients with mild CTS were randomly allocated into two groups. Group A received naproxen alone (500 mg/day, orally) while group B received both gabapentin (100-300 mg) and naproxen (500 mg/day, orally) for two months. Sensory nerve conduction velocity (SNCV) and distal motor latency (DML) were performed at baseline and two months after treatment. Results: There were no significant differences between the two groups with regards to the outcome parameters before initiation of intervention. The SNCV and DML showed no significant improvements in group A (p>0.05), whereas for group B the SNCV and DML of the median nerve were significantly improved at two months after treatment (p<0.001). Conclusion: Gabapentin was found to be effective for SNCV and DML in patients with mild CTS over a two-month period.

show abstract

Section: Discussionmentioning

confidence: 99%

Effect of Gabapentin on nerve conduction studies in carpal tunnel syndrome

et al. 2018

View full text Add to dashboard Cite

show abstract

“…The present study does not support the use of LLLT for pain reduction. Interestingly, a second study using only one laser color on 81 patients found similar findings [7]. The benefit of the MM treatment is probably related to heat.…”

Section: Discussionmentioning

confidence: 66%

“…High power lasers are commonly used in surgical settings for their thermal effects enabling them to cut, coagulate, and evaporate tissues [5]. Lower-level laser treatment (LLLT) has non-thermal effects but may stimulate cell function [7]. This may be caused by the photochemical reactions in the cells upon laser light irradiation [8,9].…”

Section: Introductionmentioning

confidence: 99%

The effects of low-level laser therapy in patients with wrist pain: is this Mickey Mouse science?

Petrofsky

Chung

Fazio

et al. 2014

PTRS

View full text Add to dashboard Cite

Objective: Low level laser treatment (LLLT) is widely used in physical therapy practice. It is combined with physical therapy or LLLT alone. The purpose of this study is to evaluate the effectiveness of LLLT on patients' perception of general wrist pain. Design: Longitudinal study. Methods: Forty-eight subjects with wrist pain who were in the age range of 18-70 years old were examined. The subjects were asked, via an interview and a visual analog scale, to grade their wrist pain. They were asked to rotate their wrists through full range of motion and the angle at which any pain occurred was assessed. Each subject was then exposed to one of the following: 1) treatment with an infrared laser with the power turned off (placebo), 2) treatment with an infrared therapeutic laser, 3) treatment with a red therapeutic laser, 4) treatment with an ultraviolet laser, 5) treatment with a blue laser, 6) treatment with a Mickey Mouse flashlight. The duration of the treatment was 3 sessions in 3 days. Results:The results of the experiments showed that while pain was reduced both immediately after and the next day after laser therapy (p<0.05), there was no significant difference between the laser groups and the placebo group. However, the Mickey Mouse flashlight treatment groups had a greater range of motion than the laser groups (p<0.05). Conclusions: While pain was reduced in all laser groups, it was probably a placebo effect. The Mickey Mouse flashlight group probably received benefit from the heat of the flashlight.

show abstract

“…26,27 In a recent prospective, randomized, placebo-controlled trial Evcik, et al reported positive effects on hand and pinch grip strengths after low-level laser therapy. 28 Beneficial effects of the combination of laser therapy with other methods as night orthopedic splint 25 or magnetic stimulation 29 were also reported.…”

Section: Discussionmentioning

confidence: 99%